Dr Lapira is an ENT Specialist and an Audiological Physician at St James’ & Capua Hospitals, Malta. He serves as adjunct Professor in audiology at Nova Southeastern University, Florida and Lecturer in voice and ENT disorders at the University of Malta. He is currently involved as Board Member of the Tinnet EU Workgroup, tasked with writing EU Guidelines on the mangement of tinnitus.

Latest Contribution


Diabetes and hearing loss: a review

As hearing health professionals we often ask, especially in older patients, if they have diabetes; but what is the link? How is it manifested and should it change current practice? Alec Lapira reviews the changing evidence. Early attempts to establish...


The effects of polypharmacy in the elderly

Another pill to cure the ill? Alec Lapira discusses the warning signs of polypharmacy in the elderly population. Polypharmacy in the elderly Polypharmacy – defined as the use of five or more medications – occurs in 20–37% of older people...